Senior Compliance & Ethics Investigator (Healthcare)
Blue Shield of CA
Blue Shield of California is seeking a Compliance and Ethics Investigator, Consultant to perform confidential internal investigations into allegations of misconduct, including sensitive matters related to fraud, violations of our Code of Conduct and corporate policies, conflicts of interest, misuse of company assets, and other legal, compliance, and regulatory concerns. Our leadership model focuses on developing strong leaders at all levels and providing growth opportunities to our people, with #J-18808-Ljbffr
- Your Role The Compliance and Ethics team ensures adherence to the BSC Code of... ...As a Compliance and Ethics Investigator, Consultant, you will... ...deep and current knowledge of healthcare compliance legislation and... ...Requires experience working with senior leaders through...Suggested
- ...Gainwell Technologies is seeking a Senior Medical Review Manager to lead multidisciplinary clinical teams in medical necessity determinations... ...management, and quality reviews. You will drive regulatory compliance, workforce planning, and budget oversight while guiding...SeniorRemote work
- ...Riverside University Health System, seeks a Medical Center Compliance Director to lead regulatory compliance, privacy, and... ...Riverside, CA. The role requires expertise in federal and state healthcare laws, investigations, risk assessments, corrective actions, and regulatory...Senior
- ...employee and labor relations programs, ensuring policy and law compliance across the organization. The role partners with Legal,... ...or employment law, a Bachelor’s degree in a related field, and preference for healthcare experience. #J-18808-Ljbffr John Muir HealthSenior
$137k - $235.75k
...everything. Our strength in healthcare innovation empowers us... ...is recruiting for a Senior Medical Science... ...scientific support for investigator‑initiated studies, including... ...on evolving data, compliance considerations, and organizational... ...business conduct and ethical behavior; Medical...SeniorTemporary workWork experience placementLocal areaImmediate startRemote work$115k - $130k
...Behavioral Center is seeking a dedicated and experienced Senior Licensed Mental Health Counselor to join our team on a full... ...you to manage care delivery effectively while ensuring compliance with safety and ethical standards. Key Responsibilities\n \n Conduct thorough...SeniorFull timeWork at officeImmediate startRemote work- A career at Prime Healthcare means contributing to a national system known for clinical excellence... ...patient-centered care. From supporting seniors with complex health needs to helping... ...or other protected characteristics. In compliance with the Americans with Disabilities Act...SeniorFlexible hours
- ...First American is hiring a senior fraud investigator for the California market to lead and coordinate complex investigations across agents, escrow teams, and business units. The role focuses on case quality, process improvements, and coaching staff to maintain high standards...Senior
$46.99k - $112.2k
...Providers and Practices to effectively pursue the prevention, investigation and prosecution of Fraud, Waste and Abuse.Collaboration with... ...external to the company.Required Qualifications3-5 years of healthcare fraud investigations experienceExperience with Microsoft Word...SeniorHourly payFull timeTemporary workLocal area- ...Our team operates at the intersection of healthcare and technology, translating breakthrough... ...real-world, safety-critical systems. Senior Director, Regulatory Affairs Location: San... ...management, and lifecycle documentation in compliance with applicable guidance Provide...Senior
- ...Cal Appeals and Grievances RN Senior will report to the Appeals... ...accuracy and medical policy compliance. In this role you will also perform... ...prior experience in nursing, healthcare or other related... ...hold ourselves to the highest ethical and integrity standards. We build...SeniorFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week
$137k - $235.75k
...everything. Our strength in healthcare innovation empowers us to build... ...(Any City) Job Description Senior Medical Science Liaison,... ...research support for company and investigator-initiated research. The Sr... ...regulatory and health care compliance guidelines. Ability to travel...SeniorLocal areaImmediate startNight shiftWeekend work- ...About the job Impartial Workplace Investigator Overview: We are seeking a highly skilled and experienced attorney investigator to join a... ...wide range of issues such as harassment, discrimination, and ethics violations. Manage investigations independently while ensuring...
$180k - $200k
...strong legacy of innovation in healthcare are the foundation of our... ...alter the course of lives.The Senior Medical Science Liaison (MSL... ...initiatives including investigator-initiated research (IIR) and... ...stakeholders while maintaining full compliance with relevant requirements....SeniorFull timeRemote workWork from homeWorldwideFlexible hoursWeekend work- ...Golden 1 Credit Union is seeking a detail‑oriented BSA SAR Investigator I who can work remotely in California. This non-exempt role reports to Sup - FCIC Investigations in Corporate Compliance and focuses on AML alert reviews and SAR determinations. You will analyze CTRs...Remote work
$148.94k - $223.3k
Your Role The Risk Adjustment Compliance Specialist, Principal is responsible for ensuring... ...relevant experience in Risk Adjustment, Healthcare Compliance, Medical Coding, or related area... .... We hold ourselves to the highest ethical and integrity standards. We build trust...Full timePart timeWork at officeLocal areaWork from homeHome office2 days per week$900 per month
...within a coordinated, community-focused setting serving senior populations. If you’re looking for meaningful, mission-driven... ...and logistical support Long-term clinic partnerships Ethical, mission-driven healthcare delivery Qualifications Doctor of Podiatric Medicine (...SeniorFull timePart timeFor contractorsWork at officeMonday to FridayWeekday work- ...operational areas. The Business Analyst, Senior will report to the Client Operations... ...Stellarus, a company designed to scale healthcare solutions. Together, these organizations... ...Honest. We hold ourselves to the highest ethical and integrity standards. We build trust...SeniorFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week
$137.72k - $206.69k
Your Role The Network Compliance team collaborates to ensure regulatory compliance with regulations... ...Stellarus, a company designed to scale healthcare solutions. Together, these organizations... .... We hold ourselves to the highest ethical and integrity standards. We build trust...Full timePart timeLocal areaWork from homeHome officeShift work2 days per week- ...of markets, from financial services to healthcare, automotive, agribusiness, insurance,... ...or oversee complex employee relations investigations and advise on investigation strategy,... ...training, and policy updates. Support compliance programs involving accommodations, leaves...SeniorWork at officeLocal areaRemote workFlexible hours1 day per week
$90k - $120k
..., but also restore their lives. The Senior Specialist, Global QMS will help implement... ...program across Orca Bio sites to ensure compliance with GxP and regulatory expectations.... ...serve our team, our patients and their healthcare providers. Notice to staffing firms...SeniorFull timeLocal areaRemote work$176.9k - $252.7k
...create powerful solutions that solve some of healthcare’s most complex challenges. Join us and... ...) at Gainwell, you will provide senior-level clinical expertise and oversight for... ...treatment guidelines to support program compliance. Collaborate with clients and internal stakeholders...SeniorFull timeTemporary workRemote workMonday to FridayFlexible hours- ...ABA programs with clinical and strategic oversight. This role mentors mid-level supervisors and clinicians, ensuring high-quality, ethical ABA services and data-driven decisions. The position offers competitive salary and benefits, with responsibilities including treatment...Senior
- ...Acentra Health is seeking a Senior Program Director to lead a new CA UIS Care Coordination program, combining strategic leadership with... ...in LA or Sacramento. You will drive performance, ensure compliance, and collaborate with clinical, operational, provider, and community...SeniorRemote work
- ...Servier is seeking a Senior Medical Science Liaison (MSL) focused on Neuromuscular... ...for scientific exchange, investigator interactions, and advancing Servier's... ...boards and medical conferences, while maintaining compliance and high ethical standards. #J-18808-Ljbffr...SeniorRemote work
- ...Travelers is seeking an experienced Risk Control Senior Professional to provide expert risk assessments for large, complex accounts. You will collaborate with Underwriting, Claims, and Risk Control teams to manage a profitable, lower-risk book of business while delivering...Senior
$63.21k - $105.49k
...A leading engineering firm is seeking a Senior HR Specialist for its Rancho Cordova office. The successful candidate will handle various... ..., including employee relations, performance management, and compliance. Candidates should have over 5 years of HR experience and relevant...SeniorWork at office- ...Associate Director of Clinical Operations to lead global phase 1-3 oncology trials, overseeing CRO management and ensuring GCP/ICH/FDA compliance. You will shape development plans, manage timelines and budgets, and mentor clinical operations teams. Based onsite in Redwood...Senior
- ...Blue Shield of CA is seeking a Senior Manager, Product Strategy to lead a team of product managers and consultants in developing and deploying multi-horizon product strategies and initiatives across the health plan. This role collaborates across the Ascendiun family and...SeniorWork at office
$56.36k - $84.54k
...BestCo, a leader in vitamins, minerals and supplements, seeks an Associate Quality Investigator to conduct technical investigations and deviation management. You will ensure FDA/GMP compliance, collaborate across functions, and drive quality improvements in product release...
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